LEAVE COMPLETED AND SIGNED FORM WITH THE OWNER -------------------------------- ------------------------------------------------------------------------------- -- Limited Temporary Life Insurance Agreement (Agreement) ---------------------...Limited Temporary Life Insurance Agreement • April 30th, 2013 • Agl Separate Account Vl-R
SUBMIT COMPLETED FORM WITH SIGNED APPLICATION --------------------------------- ----------------------------------------------- Limited Temporary Life Insurance Agreement Receipt ---------------------------------------------------...Limited Temporary Life Insurance Agreement • April 29th, 2013 • Usl Separate Account Usl Vl-R
Exhibit (e)(5) ---------------------------------------------------------------- ---------------- LEAVE COMPLETED AND SIGNED FORM WITH THE OWNER --------------- ----------------------------------------------------------------- Limited Temporary Life...Limited Temporary Life Insurance Agreement • April 29th, 2013 • Usl Separate Account Usl Vl-R
EXHIBIT (e)(6) THIS FORM TO BE COMPLETED, DETACHED AND SUBMITTED WITH THE SIGNED APPLICATION. Limited Temporary Life Insurance Agreement Receipt 1. CHECK APPROPRIATE COMPANY: [_] THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK, NEW...Limited Temporary Life Insurance Agreement • April 30th, 2008 • Usl Separate Account Usl Vl-R
EXHIBIT (e)(5) THIS FORM MUST BE COMPLETED, SIGNED AND LEFT WITH THE APPLICANT. Limited Temporary Life Insurance Agreement (Agreement)Limited Temporary Life Insurance Agreement • April 30th, 2008 • Usl Separate Account Usl Vl-R
Exhibit (e)(12) This form must be completed, signed and left with the applicant. Limited Temporary Life Insurance Agreement (Agreement) THIS AGREEMENT PROVIDES A LIMITED AMOUNT OF LIFE INSURANCE COVERAGE FOR A LIMITED PERIOD OF TIME, SUBJECT TO THE...Limited Temporary Life Insurance Agreement • August 22nd, 2007 • Agl Separate Account Vl-R
EXHIBIT (e)(12) This form must be completed, signed and left with the applicant. -------------------------------------------------------------------- ------------ Limited Temporary Life Insurance Agreement (Agreement) -----------...Limited Temporary Life Insurance Agreement • November 8th, 2005 • Agl Separate Account Vl-R